Evidence map›Paper›PMID 39816837›Full record

ArticleFrontiers in parasitology2023

Parasitemia and antibody response to benznidazole treatment in a cohort of patients with chronic Chagas disease.

Carlos Henrique Valente Moreira, Ana Luiza Bierrenbach, Cesar Augusto Taconeli, Léa Campos de Oliveira-da Silva, Lewis F Buss, Sheila M Keating, Erika Regina Manuli, Noemia Barbosa Carvalho, Cristina Guastini, Sonia Bakkour Coco and 8 more

Abstract read
In one paragraph

Article in Frontiers in parasitology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Carlos Henrique Valente MoreiraInstitute of Infectology "Emilio Ribas", São Paulo, São Paulo, Brazil.
Ana Luiza BierrenbachHospital Sírio-Libanês, Vital Strategies, São Paulo, São Paulo, Brazil.
Cesar Augusto TaconeliDepartamento de Estatística, The Federal University of Paraná, Curitiba, PR, Brazil.
Léa Campos de Oliveira-da SilvaLaboratório de Parasitologia Médica (LIM-46), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
Lewis F BussLaboratório de Parasitologia Médica (LIM-46), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
Sheila M KeatingGigaGen - A Grifols Company, San Carlos, CA, United States.
Erika Regina ManuliLaboratório de Parasitologia Médica (LIM-46), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
Noemia Barbosa CarvalhoHospital das Clinicas de São Paulo, São Paulo, Brazil.
Cristina GuastiniHospital das Clinicas de São Paulo, São Paulo, Brazil.
Sonia Bakkour CocoVitalant Research Institute, San Francisco, CA, United States.
José Ângelo Lauletta LindosoInstitute of Infectology "Emilio Ribas", São Paulo, São Paulo, Brazil.
Lucas Augusto Moyses FrancoLaboratório de Parasitologia Médica (LIM-46), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
Fabio GhilardiLaboratório de Parasitologia Médica (LIM-46), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
Flavia Cristina da Silva SalesLaboratório de Parasitologia Médica (LIM-46), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
Paul ContestableOrtho-Clinical Diagnostics, Inc, Raritan, NJ, United States.
Clara Di GermanioVitalant Research Institute, San Francisco, CA, United States.
Michael P BuschVitalant Research Institute, San Francisco, CA, United States.
Ester Cerdeira SabinoLaboratório de Parasitologia Médica (LIM-46), Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.

Funding

Sao Paulo-Minas Gerais Tropical Medicine Research Center for Chagas Disease Biomarker DiscoveryU19AI098461 · NIAID · FUNDACAO FACULDADE DE MEDICINA · PI SABINO, ESTER CERDEIRA · 2017 to 2021
$2.1M
"Sao Paulo-Minas Gerais Center for Chagas Disease Treatment (SaMiTrop)"U01AI168383 · NIAID · FUNDACAO FACULDADE DE MEDICINA · PI Ester Cerdeira Sabino · 2022 to 2026
$1.9M
NIAID NIH HHS U01 AI168383NIAID NIH HHS U19 AI098461
6 · The paper itself

Abstract

Background: Evaluating the effectiveness of Chagas disease treatment poses challenges due to the lack of biomarkers for disease progression and therapeutic response. In this study, we aimed to assess the clearance of Trypanosoma cruzi ( Methods: A total of 102 Results: Of the enrolled individuals, 87 completed at least 50% of the treatment course, and 86 had PCR results at follow-up visits T6M, T12M, and T36M. PCR results exhibited fluctuations before and after treatment, but levels were significantly lower post-treatment. Only 15 cases consistently tested PCR-negative across all post-treatment visits. Notably, nearly all participants demonstrated a declining antibody trajectory, with patients who tested PCR-negative at T36M exhibiting an earlier and more pronounced decline compared to PCR-positive cases at the same visit. Conclusion: Our study suggests that serial PCR results pose challenges in interpretation. In contrast, serial antibody levels may serve as an ancillary, or even a more reliable indicator of parasite decline following BNZ treatment. Monitoring antibody levels can provide valuable insights into the efficacy of treatment and the persistence of parasites in Chagas disease patients.

Indexed as

benznidazolebiomarkerChagasPCRserologyTrypanossoma cruzi

Identifiers

PMID39816837
PMCPMC11731785

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.